Individual provider Active NPI

Stanley Keith Gilbert Jr., M.D.

  • Orthopaedic Surgery Physician
  • Fayetteville, NC
National Provider Identifier
1922072016
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25025 Issued in NC
Practice address
4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2563
Phone
(910) 484-2171
Fax
(910) 484-4568
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25025 NC Primary
Orthopaedic Surgery Physician 207X00000X MD.207799 LA

Addresses

Primary practice location

4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2563

Mailing address

4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2563
Phone (910) 484-2171

Other identifiers 4

IdentifierTypeStateIssuer
1304484MedicaidLA
8935462MedicaidNC
08473255MedicaidMS
35462OtherNCBCBS INDIVIDUAL ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100327000135 NC Practitioner - Orthopedic Surgery 7012902208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.207799LAMDOrthopaedic Surgery Physician
25025NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of North Carolina PC Orthopaedic Surgery CurrentSince May 1, 2016 Accepting new patients

Locations

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1922072016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR",
            "address_2": "SUITE 801",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142563",
            "telephone_number": "910-484-2171",
            "fax_number": "910-484-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR",
            "address_2": "SUITE 801",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142563",
            "telephone_number": "910-484-2171",
            "fax_number": "910-484-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "STANLEY",
        "middle_name": "KEITH",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "25025",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "MD.207799",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1304484",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8935462",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08473255",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL ID NUMBER",
            "identifier": "35462",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.